Active NPI
Sandrine M Bosshardt, PH.D.
- Psychologist
- Athens, GA
National Provider Identifier
1053673566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003111
- Practice address
- 55 Carlton St
Athens, GA 30602-1503 - Phone
- (865) 804-0667
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003111 | GA | Primary |
Addresses
Primary practice location
55 Carlton St
Athens, GA 30602-1503
Mailing address
55 Carlton St
Athens, GA 30602-1503
Phone (865) 804-0667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1053673566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021503",
"telephone_number": "865-804-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021503",
"telephone_number": "865-804-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSHARDT",
"first_name": "SANDRINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.